We used multivariable logistic regression analyses to investigate associations between early sexual debut and social, demographic and psychosocial variables. Adolescents who initiate sex at young ages are more likely than those who do not to have multiple and concurrent partners, engage in unprotected sexual intercourse and acquire STIs, including HIV. Peers, with such a central role in Western adolescence, play a comparatively minor role in the lives of Arabic and South Asian adolescents. Models were run with social and demographic variables and all other psychosocial variables separately before together in a final adjusted model. Thus, we repeated our analyses among only the young women in our sample who had been willing at first sex. Yet, it is now widely recognized that it is necessary to target adolescents before they engage in sexual activity, to understand and address their sexual and reproductive health needs. In an exploratory analysis, however, these measures were not found to be associated with early first sex and were excluded from the main analysis. Using a modified version of the protection-risk conceptual framework developed by Jessor et al. Although there is abundant data on the sexual and reproductive behaviors of older adolescents and young adults aged 15—24 in Sub-Saharan Africa, little is known about younger adolescents 12—16 years.
Several measures of peer influence were included: Age was measured as a continuous variable; sex, settlement of residence and Muslim religion were dichotomous variables. Questions were social, demographic and psychosocial in nature, and related to key markers of transition to adulthood, such as schooling, employment, sexual intercourse, marriage and parenthood. In this book, scholars from eight regions of the world describe the distinct nature of adolescence in their regions. As a whole, the book depicts how rapid global change is dramatically altering the experience of the adolescent transition, creating new opportunities and challenges for adolescents, parents, teachers, and concerned others. Crude odd ratios were calculated for individual variables separately and assessed. Protective factors are negatively associated with problem behaviors, because they provide models or a supportive environment for conventional behavior and controls against problem behavior. Lack of parental supervision was a predictor of sexual debut among males only Logistic regression analyses were used to examine variables associated with experience of sexual debut by Wave 2 among youth who were aged 12—16 and sexually inexperienced at Wave 1. Further studies are warranted to elucidate how these factors can be addressed in prevention programs for young adolescents. Forced or coercive sex may play a role in early sexual debut among females. To examine this more closely, we conducted analyses among all females, excluding those who reported becoming pregnant between waves. In terms of family characteristics, we expect absence of parental figures, low family supervision, marital breakdown and violence, and sibling risk behavior to be risk factors for early sexual debut. Adolescence in Eight Regions of the Globe B. We hypothesize that nonattendance at school and low social participation will be risk factors for males and females, and that high self-esteem will be a risk factor for males, but not females, because of enhanced confidence in seeking sexual partners. Adolescents who initiate sex at young ages are more likely than those who do not to have multiple and concurrent partners, engage in unprotected sexual intercourse and acquire STIs, including HIV. In addition, in the absence of accurate information on the dates of school discontinuation and sexual debut, an association between school attendance and sexual debut would be causally ambiguous, insofar as sexual experience may result in pregnancy and forced school dropout. In an exploratory analysis, however, these measures were not found to be associated with early first sex and were excluded from the main analysis. Emotional turmoil and individuation from family occur in some societies but not others. Bradford Brown, Reed W. Surprisingly, young women, as well as men, who did not have high self-esteem were less likely than those who did to initiate first sex between waves 0. Addressing the sexual and reproductive health challenges faced by adolescents in the region is critical, given the high number of new HIV infections among young people and the large contribution adolescent childbearing makes to the high levels of fertility observed in many Sub-Saharan African countries. Much of the existing literature on factors that influence sexual behaviors among youth in Sub-Saharan Africa is based on a demographic or health point of view. This cutoff also takes into account the median age at first sex, which on the basis of data from the — Kenyan Demographic and Health Survey 37 and preliminary analyses of the timing of first sex in the Transition to Adulthood study is approximately 18 years. Models were run with social and demographic variables and all other psychosocial variables separately before together in a final adjusted model.
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